Failure to Maintain Safe and Clean Facility Environment
Penalty
Summary
The facility failed to maintain several areas in a safe, clean, and comfortable condition for residents, staff, and the public. Observations revealed multiple deficiencies, including four unpainted areas on the dining room ceiling, a deep gouge and missing drywall at the main doorway corner, and additional drywall damage along the same area. Heavy dust was found on the drop ceiling and metal supports outside a resident room, and rectangular marks were present on walls between rooms and outside the infection control office. In one resident room, a five-foot-long trim piece with four exposed nails was found on the floor under the bed's headboard. A review of maintenance logs showed no written work requests for wall or trim damage in the past six months. Staff interviews indicated that maintenance issues were often reported verbally rather than through the required written work order process. The Maintenance Director confirmed receiving both verbal and written requests, and the Housekeeping Manager stated that paint repairs should be completed the same day they are reported. The facility's policy requires work orders to be filled out and prioritized, but this process was not consistently followed, contributing to the deficiencies observed.